Individual provider Active NPI

Robert Miles Smith II, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Colorado Springs, CO
National Provider Identifier
1467022335
Registry record updated Apr 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APN.0997084-NP Issued in CO
Practice address
6915 Tutt Blvd.
Suite #110B
Colorado Springs, CO 80923-3591
Phone
(719) 445-1292
Fax
(719) 591-6486
NPI assigned
Jul 1, 2021
Last updated
Apr 13, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 13, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X 1652682 CO
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APN.0997084-NP CO Primary

Addresses

Primary practice location

6915 Tutt Blvd.
Suite #110B
Colorado Springs, CO 80923-3591

Mailing address

1065 NE 125TH Street
Suite 300
North Miami, FL 33161-5833
Phone (888) 852-6672

Other names 1

  • Robert Miles Smith Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220103001396 CO Practitioner - Nurse Practitioner 5799742326 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

8835 American Way
Englewood, CO 80112-7056
Phone (720) 643-4300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1652682COMDPsychiatric/Mental Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Intermountain Front Range, Inc. Current Accepting new patients
Denver Springs Physician Group LLC Current Accepting new patients
Denver Springs Physician Group LLC CurrentSince Jun 24, 2024 Accepting new patients
Intermountain Front Range, Inc. CurrentSince Jun 10, 2024 Accepting new patients
Denver Springs Physician Group, LLC CurrentSince Jun 24, 2024 Accepting new patients
Intermountain Front Range, Inc. CurrentSince Jun 10, 2024 Accepting new patients
CSMN Operations Boulder CurrentSince Apr 1, 2025 Accepting new patients

Locations

8835 American Way
Englewood, CO 80112
Phone (720) 643-4300

16830 Northgate Dr
Ste 103
Parker, CO 80134
Phone (720) 468-4780

16830 Northgate Dr
Unit 130
Parker, CO 80134
Phone (303) 805-7246

8787 Turnpike Dr
Westminster, CO 80031
Phone (720) 214-0826

3400 Lutheran Pkwy
Wheat Ridge, CO 80033
Phone (303) 467-4000

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1625097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649808000000",
    "number": "1467022335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1065 NE 125TH STREET",
            "address_2": "SUITE 300",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331615833",
            "telephone_number": "888-852-6672",
            "fax_number": "305-891-4228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6915 TUTT BLVD.",
            "address_2": "SUITE #110B",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809233591",
            "telephone_number": "719-445-1292",
            "fax_number": "719-591-6486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ROBERT",
        "middle_name": "MILES",
        "name_suffix": "II",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-07-01",
        "last_updated": "2022-04-13",
        "certification_date": "2022-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "CO",
            "license": "1652682",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "APN.0997084-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROBERT",
            "last_name": "SMITH",
            "middle_name": "MILES",
            "credential": "RN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.